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APPLICATION FOR MEMBERSHIP 

ro 

The National Society 

or THE 

DAUGHTERS OF THE AMERICAN REVOLUTION. 

WASHINGTON, D. C. 

Slate, /ti^^^^*'^^^^^/^^^**^*^^ 

City, .._. 

Name of Chapter, 
National Number, Chapter Number, 




'rZy4!^-0. 







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.\ppticatioa examined and approved 








Examined and approved . 



QhnpU^r Secretary. 



jrjcha^ier Registrar. 
, 190 



Accepted by the National Board of Management - 



RegiAtTor GeneraL 
, 190 -., 



Application aud duplicate lecelred by Registrar General . 
Fees paid to Treasurer General -,..^..- 



Recording ^Secrdary GensraL 
..- „-, 190 .,, 



„..., 190,_. 



When the applicant derives eligibility d" meimbeTship by descent from more than ooo ancestor, 
and desires to take advantage thereof, separate applications to be marked "Supplemental application," 
aod numbered like the original, should be made in each case. Applications must be made in 
duplicate, and sheuld besworn to before an oiBcer aatborized to administer an oath and having a seal. 



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APPLICATION FOR MEMBERSHIP. 



To be (Hied but and after tieins properly endorsed hy the local chapter. (orwar(!ed to the Reclftrar Qenent 
of the National 5cciet,v. 902 H Street. Washinplon, D.C. 

When approved by tbe National Officers, one copy will be returned to the Re^trar of the Chapter, and 
the other wlH be filed with the National Society. 

TO THE BOARD OF MANAGERS OF TH^^ 

DAUGHTERS OF THE AMERICAN REVOLUTION. 

] Maty Custis Lee _ — ,.... _, bftiog of tbe age of eighteen yeare and 

upwards, hereby .'ipply for memtershipin this Society by right of lineal descent in the following line fiom 

Major Oeneral-Heniy Lee. J light Horse ...Harxz-X- - 

who was l.oro ill "Leesylvanla", Va. on the SStll .... day of. . Jan. , !7 .Jje, 

and died in Cumberland Island. Oa. on the 2Bth ...day of WaVch , i 818 
and who served in the War of tLe Kevolulion. 

I was born in the Homestead of. Arlington . Countyof. Jalrfax 

Slate of , Vii'sinla 

I am tb« ilaiighter of C.eneral 'P.Otert Edward Lee ..and 

,. l(ar/ Handolph Cuetia ._ . . .his »ife; 

thesnid General Robert E. Lee was the..-.- Son ...„. „ jf 

"na 

Ma]. Cen. Henry Lee and.. Anne .Hill Carter. .-hii^ife; 

thes.iid Maj. Gen. Henri' Lee . was the,..- Son. - . .of 

Lieut, col. Henry Lee _ and Luoy Giymes .hiswife; 

thesaid Lieut. Col, Henry Lee . wosthe... .Son of 

Colonel Henry Lee. and Mary Bland , . . , his wife; 

thcsaid. Colonel Heni^' Lee . . w.isthc. Son -. <jf 

. , . Hlohard Lee , l-.-.a Lettioe Oorbin .......hiswife; 

the said Rlohai>d Lee -v^; ■:,.: Son of 

. Col. Henry Lee ^.i..i .hiswife: 

and he, the said I'aj or General Heniy Lee is the ancestor who assisted in 

establishing American Indepcndeiice, while actir.s in tlic capacity of, UaJ or . General in the 

Hevolutionary-.Arair . 



Koslnnteil fted rtccniotitdcd by ifac ucdenlrEfd, a icemtei ^t E.^i^tuK el arrilJcaiit 

ite SceJiiT- 




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Gift. 
1 1 Ap'C5 



Any woir^aii may be eligible for mcmbtrship who is of the age of eighteen yeare, and who is 
ii09ccnd(d'froin a roan c.r woman who, with unfailiug loyalty, reudered material aid to the cause of 
Independence ; Trom a recngnii^d patriot, a soWier or sailor or a oivil officer in one of llie several 
Colonies or States, or of the United Colonies or States ; jrrovidrd that Iht applicant be acceptable to th'cSQcict'j. 

Give below a rcfcrcr.ee, by volume and page, to the documentary or other anthority upon which 
you found your record. Where' reference is made to unpubjishcd or inaccessible records, bhe applicant 
iijusl fde duplicate certified copies of eame. Statements based upon tradition cannot be considered. 



ANCESTOR'S SERVICE. 



My ancestor's services in assisting, in the establishment of American Independence during th& 
War of the Revolution were as follows : 

Henry iee ( ."Llclit Horaa ilany", ). -Captain of. a.ooiiipaiiy of. 

Vlrelnla Drasoons, June lath. 17.78. , , Conpany attached to and 

forced part of 1st oontlnentaX-Ittagoonst. Maroli 3lBt. 1777. 

By act of Congress April 7tl»* 1773 «.._.Henry lee waa promoted to . 
raiac cf j!aJor Coacandant. By the act of September .24th 1779 
a vote of congreosBas tendered by. .Congress to Uaior Lee for 
braveiy and jablllty ahovn at Paulus Hooi, and a gold medal eaa 
ordered to be presented to^hlm.i5ct...XIflt _177.8.. _Hl8 Battalloa waa . 

designated Lee's Partlcan Corps ; Lieut. Col. of .same Mov.etli _ , 

1780, and served to oloae. of the .war. Engaged In. battles of _ _ 

Paulus KooJt, oeraden, Oiiilford,aobklri8,Klll...Slega. of ninety, six. 
and others. ._ _ — -_ .... 

Kenzy Lee was born at Leesylvanla near Omfrees. Prlnoe 

Vllllan Co.. Va. Jan. 29th 176G died at Cumberland Island Ga. 
aaroh 2Bth 1818 Married tnloe let wife, his cousin, Jiatilda Lee . 
2nd rlfo Anne Hill Carter Married 1793. .. . _ 

HlB father Lieut, ool. Kenry Lee settled -In Prlgoe uriUiaa 

CO., Leesylvanla near Dumfrees. Member of Provlnolal Oonventlian _ 

1774-76-76 and la State Senate 1780. as County Lieut eriant for 

Prince ffilllaia Co., and was active during the Eevolutlqnary war 

bom .1729 died 1707. . . Supplemental papers filed as a desoendant.. 

_of. Martha Bandrldge Ridon of. Daniel. Parke Custla and wife of 

.George Faahington - ( aa .a. Revolut^ionary Jleroine J 



(Signature of Applicant). 



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The following is a memorandum of th-j authority for the foregoing stateawnl ; 

Heltaan'B Hlstorioal Register page 260. 
Appleton's C\-olopedla of junerloan Biography, page 867, 
' Lee of Virginia " page 329. ( Genealogy ) by 
Edmind J, Lee Light Horae Harry. 



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Tho foHowiDg form of acknowledgment isrecommendcd 
Deponent further says that the said ^^' "^^ x^m-^y^ C»Cc>t-^ f ^^^^ ^f aaceslor 
fir.ni whom eligibility is derived), is the fliicestor mentioned in tlflf ftfor«^ia;^ application, and tSat the 



«m'in3nt3 herein before set forth are true to the best of her knowIMgc and belief 
S'('>3cribed and s-.v-orn to 'oefure me at 



(Signature of Dttponent) 




LIBRARY OF CONGRESS 



012 608 254 P % 



LIBRARY OF CONGRESS 



'"iiifi I III lii'iiiiiiiii iii 

012 608 254 A 



Hollinger 

pH 8^ 

MiU Run F03.2193 



